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Work Activity Work Order Pa9e 1 <br /> z�iz�zois ia:io <br /> Is�ued 8y Hu HusBY,uNCE�. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 11113/t014 <br /> Fund �a� Account s Program Function Activity <br /> Progrem urs�n s 3 <br /> TitlC CONVERT.751NCH 7107 RUCKER AVE UT3473-53 <br /> Work Order No 20143351 PfOJOCI Activily Type CORRECTIVE MAINTENANCE 5�21US CL <br /> Status tvt3rzota Time o9s3 Original W0 Billing <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �qp� Street RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrscto� <br /> Assigned To <br /> Assigned By f���s�� <br /> Assigned Date To Be Comp Date __ `'��������' <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERi.75 INCH CURBSiOP TO.75 INCH SETfER WIiH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� Husav,uNce�. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed �nv�ots Permit No <br /> Compieted By Time Follow Up? <br />